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Individual

BRADLEY ZWAHLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1508 DIVISION ST STE 15, OREGON CITY, OR 97045-1583
(503) 692-3750
(503) 691-2324
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202000931NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500780745
OR
Enumeration date
11/14/2017
Last updated
12/13/2023
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